1984, 10-18 Permit App: 00002941 FurnaceMECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
1 Owner's Name (Last) (First) (M)
Homes West, Inc. (Jimmy Winebrenner)
Department Use Only
Project No.
2 Project Address (Not Mailing Address) Space Zip
N. 5321 Best Rd. 99216
3 City/Community
Spokane
State
Wash.
Subdivision/Plat Name
4 Assessor Parcel No.
Lot
Block
2Q17 /
16 Contractor Firm Name
Anderson's Sheet Metal - Heating & Air Conditioning
Street Address
E, 13903 Trent Ave.
17 Zip
99216
City
Spokane
State
Wash.
Phone
1( 509) 928-0960
18 Contact Person
Eric R. Anderson
License No.
ANDERSH213NZ
Phone if different than above
8 Owner/Agent (if different than #1 above)
Business
Address
9 Zip
City
State
Phone
15 Describe Work:
New It' Addition/Alteration
0
Replace/Repair 0
10 Applicant Name
Anderson's Sheet Metal - Heating & Mr Conditioning
Street
E.13903
Address
Trent Avenue
11 Zip
99216
City
Spokane
State
Washington
Phone
1 509 ) 928-0960
8 VENT: Fan(s):
Evap Cooler(s):
Hood s):
Duct(s) 1: R
Miscellaneous:
10 APPLIANCE:
-Dryer(s): -
Range s):
Gas Log(s):
Wood Stove/
Solid Fuel:
Gas Water Heater(s):
11 UNIT HEATER(S): Wall Mount: Y N
Floo : Y N
Suspended: Y N
12 AIR HANDLING: 10,000 CFM or less:
More than 10,000CFM:
13 REFRIG SYSTEM BTU: 1-100M:
100-500M:
500-1000M:
14 1000-1750M:
Other:
Pressure Vessel (cu. 1.):
15 COMPRESSOR/HP: Less than 3:
3-15:
15-30:
30-50:
50+:
16 GAS PIPING SYSTEM: Number of outlets:
17 HEATING SYSTEM: 1-100,000 BTU:King 20 KW' Electric Furnace
100'001+BTU:
18 TYPE FUEL SOURCE: Electric X. ; Gas 0 ; Oil 0 ; Coal 0 ; Wood 0 ; Solar 0
19 TYPE DISTRIBUTION: Forced Air IN ; Radiant 0 ; Heat Pump
1' Number of separate zones for any heating, A/C or air handling system.
I certify that the above information as submitted by me is true and correct and further, agree that all pro-
visions of laws and ordinances governing this type of work, including inspection requirements, will be com-
plied with whether specified herein or not. The granting of a permit does not presume to give authority to
violate or cancel the provisions of any state of local laws regulating construction or the performance of
construction.
SIGNATURE 1
OWNERR O OR OF
x
Eric R. Anderson, Chaser
APPLICATION
DATE 0-18-84
•
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